通过皮肤进行电针点刺激,以预防老年患者手术后痴呆症:系统性审查和元分析
Yi-Jiao Chen1, Qi-Hong Shen2, Yi Yang3
1Department of Anesthesiology, Sir Run Run Shaw Hospital Affiliated with the Zhejiang University School of Medicine, Hangzhou, China.
Frontiers in medicine
|February 2, 2026
概括
穿皮电针刺激 (TEAS) 显著降低了老年手术患者手术后 Delirium (POD) 的风险. 这种非药理学方法提供了一种安全有效的POD预防方法.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 综合医学是一个整体的医学.
背景情况:
- 手术后痴呆症 (POD) 是老年手术患者的常见并发症,与增加的发病率和死亡率有关.
- 目前的预防策略存在局限性,突出了有效的非药物干预措施的必要性.
研究的目的:
- 在接受手术的老年患者中,系统地评估穿皮电针点刺激 (TEAS) 预防POD的疗效.
- 评估TEAS对术后认知功能,疼痛和恢复质量的影响.
主要方法:
- 随机对照试验 (RCT) 的元分析,将TEAS与60岁以上患者的对照组 (假或无刺激) 进行比较.
- 包括20个RCT与2290名患者;主要结局是手术后七天内POD发病率.
- 评估的次要结果包括CAM分数,醇消耗,疼痛分数和恢复质量 (QoR-15).
主要成果:
- TEAS显著降低了POD发病率 (5.6%与17.0%相比;RR 0.34,95%CI 0.26-0.45).
- TEAS改善了认知评估 (CAM评分),减少了醇使用和术后疼痛,并提高了恢复质量.
- 没有报告任何严重不良事件,这表明安全性概况有利.
结论:
- 术后TEAS有效降低老年手术患者的POD风险.
- 通过抗炎机制,TEAS可能会产生保护作用.
- 在增强的恢复协议中,TEAS是预防POD的一个有前途的非药物选择.
相关概念视频
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.3K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.3K
Random and Systematic Errors
14.9K
Scientists always try their best to record measurements with the utmost accuracy and precision. However, sometimes errors do occur. These errors can be random or systematic. Random errors are observed due to the inconsistency or fluctuation in the measurement process, or variations in the quantity itself that is being measured. Such errors fluctuate from being greater than or less than the true value in repeated measurements. Consider a scientist measuring the length of an earthworm using a...
14.9K
Directing Effect of Substituents: meta-Directing Groups
6.0K
Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
6.0K
Systematic Sampling Method
13.3K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. Data are the result of sampling from a population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
Systematic sampling is one of the simplest methods...
Systematic sampling is one of the simplest methods...
13.3K
Cancer Prevention
8.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
8.1K


